Healthy Airport Ordinance (HCAO Amendment)

New! City Option Contribution Rate
Effective July 1, 2022, the City Option Contribution rate is $9.90 per hour, up to $396.00 per week. 

Healthy Airport Ordinance Amendments Webinar (3/5/21)
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Webinar Recording (password = OLSEwebinars01)


Healthy Airport Ordinance (HCAO Amendment)
On November 10, 2020, the Board of Supervisors adopted the Healthy Airport Ordinance, which amends the Health Care Accountability Ordinance for specified workers at the San Francisco International Airport. Covered employers must comply with the ordinance's requirements on its operative date, March 21, 2021.

Employers at the San Francisco International Airport (SFO) are required to provide employees covered by SFO’s Quality Standards Program with family health insurance that meets the compliance requirements at no cost to the employee or pay $9.90 per hour (up to $396 per week) on behalf of the employee to the City Option Program.  Employers may choose which option they use to comply.  For more details on these two options, please review the Frequently Asked Questions, posted below.

For questions regarding health plan requirements, contact Max Gara at the Department of Public Health at or (415) 554-2621. To learn more about contributing to the City Option Program, visit or contact SF City Option Program Management at or (415) 615-4492.  Please mention that you are an San Francisco International Airport (SFO) employer or employee.  


Webinar: QSP Employees - How the New Healthy Airport Ordinance Impacts Your Benefits (February 10, 2021)
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Webinar Video (password = OLSEwebinars01)

Webinar: HCAO Compliance for QSP SFO Employers (January, 26, 2021)
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Webinar Video (password = OLSEwebinars01)


Contact OLSE
If you have questions about the Healthy Airport Ordinance or wish to report a violation of the law, call 415-554-7903 or email